HomeMy WebLinkAboutMOBILE HOME PERMIT WORKSHEETMOBILE HOME PERMIT WORKSHEET
a
PERMIT NUMBER � b
Installer c5 rGn License # r�i a
Address of home "! 135- Ll5- 1 5b - Recce ,Fj
being installed
Manufacturer O G 12 do Length x width �` . G O
NOTE. if home is a single wide rill out one half of the blocking plat
N home is a triple or quad wide sketch in remainder of home
! understand Lateral Arm Systems cannot be used on any home (new or -used)
where the sidewall ties exceed 5 ft 4 in.
c InstaIIe!, irntia' I
}jypical pier spacing A
ley 2' lateral
i� F—i
Show locations of Longitudinal and Lateral Systems
n, „„r,, (usg dark lines to show these locations)
New Home
Home installed to the
b
Installation Manual
Home is installed in ac o aule 15-C
Single wide Q o a II ❑
O gA 4e
Double wide ( �r tion Decal #
l,O 4 A
Triple/Quad ��''-9 aI # 61-I
Q
�q1, -:5 �� �Z y
,�s,4 1?ACING TABLE FGWL
page 1 of 2
Load
Footer
1i�1, 6" 181/2"
bearing
I
size
x 18 1!2"
22" x 22" 24" X 24" 26" x 26"
0
capacity
(sq in)
(256) (342)
(484)" (576)' (676)
s
3
8
1500 psf4
s
IT-$
2500 s
g
3000 psf
s
' .M—MI.A i......
o.a., a— n-.----__.__._...
Perimeter pier pad size
Other pier pad sizes
(required by the mfg.)
Al M-
Draw the approximate locations of marriage
wall openings 4 foot or greater. Use this
�- symbol to show the piers. ^AIQ
List all marriage wall openings greater than 4 foot
and their pier Dad sizes below_
Opening Pier pad size
—i /1�'1
n/tfb
A t
TIEDOWN C0MPONEFdTS
Longitudinal Stabilizing Device (LSD
POPULASIZES
�lirirrrs►.l.�ri►a�:y
�y
ANCHORS
Oft 5ft
FRAME LIES
Within 2' of end of home pl 1A
spaced at 6 4" oc
OTHER TIES
Nu er
Sidewall
Longitudinal
Marriage wall
Shearwall
MOBILE HOME PERMIT WORKSHEET � ''
1,. page 2 of 2
PERMIT NUMBER
POdKET FENEYROMETER
The pocket penetrometer tests are rounded down to psi
or check here to declare 1000 lb soil without testing.
XL')-9 D x 600 x �o
POCKET PENETROMETER TESTING METHOD
t 'lest the pr.: tnarrter of the home at a locations
2 Take the readvq at the depth of tree rooter
3 Usinq 500 tt) Increments take, the lowest
readrnq and round bourn to that Increment
x 1510Lc7 x SW X)ao
JTORQUE PIU(5 T� ES " =
I e�Iilt� r•l rr:+. torraue profa47 !••st rS 3 K Inch Pounds n, ctie(*
httrr� If OW saW [l- Jill'Irrg 5° cint:t.or� WithOUt testrnq A te51
f•r:o•enr)•j 27fi .nr h pounds or it 55 vn{t re':.urre 4 foot anchors
�3ili;f'�•"� i'. t' :3Elil'ir�(3 cat ttlr_% gt ::t!.ldtt tOC;clfiUiiS t UnCtE't$t:3r �� J tt
!r'ailred at all '.:^tErtltti@ 1* points Where the torque test
teSr: Oita where the mobile home manufacturer may
• tiisfalle�s�!ttitrals``"�}
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer ;tame QQ
Date %'ested V
• Electrical
Connect electrical conductors between mutt+ -wide units, but not to the main power
source Thts Includes the bonding wire between mutt -wide units. Pg.
Plumbing_
Connect all sewer drains to an exisifnq sewer tap or septic tanl( Pg.
Connect all potable ,water supply plptn.1 Pc an existing water meter, water tap, or other
independent vrat!er supply systems Pq
Debris and organic material removed lW
Water drainage Natural Swale Pad
Other
Floor- Type Fastener Length Spacing j A
tNaiis Type Fastener Length Spacing
Roof Type Fastener Length Spacing d 1/
For used homes a min 30gauge. n" wide galvanized metal strip
will be centered over the peak of the roof and fastened with galy
roofing nails at 2" ere center on both sides of the centerline. .
Gasket (Mtarherprootmg requrrementl
I Understand a properly installed gasket is a requirement of all new and used
homes and that condensation mold. meldevr and buckled marriage walls are
a result of a poorly installed or no gasket b inq installed I understand a strip
of tape will not serve as a gasket
srtsizlk:r's cnitl:il5
Type rjasketInstalled
A
Between Fioors yes
f3f�tvre efi Watts Yes
8unom o: ndijebr?arn Ye,*,
WiTa erprooring _ '-"�-
The bottornboafcf will be repaired andror tape Yes Pq )�I
Sating on unr;s is installed to ►manufacture; s sprm,r icafrcins Yes �< i
Firepfam chimney installed so as not to allow intrusion or rain water Yes�l�
MiscetianeouS
Sktrtinq to tee installed Ye No
Dryer vent installed outside of skirttng es N!A
R.anV. downflow vent installed outside o kirting ye-, N!A
Drain lines supported at 4 foot internals Ye, J
Electrical crossovers protected Yes
Other
Installer verifies all information given with this permit
Is accurate and true based an the